Journal of Korean Ophthalmic Optics Society (한국안광학회지)

The Korean Ophthalmic Optics Society (한국안광학회)
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A Study on the Changes of Accommodative Function in Respect to the Viewing Angle

주시각도에 따른 조절기능의 변화

  • Lee, Hark-Jun (Department of Optometry Optics Wonkang Health Science College) ;
  • Kim, Jung-Hee (Department of Optometry & Vision Science, Dongnam Health College)
  • 이학준 (원광보건대학 안경광학과) ;
  • 김정희 (동남보건대학 안경광학과)
  • Received : 2009.01.27
  • Accepted : 2009.06.04
  • Published : 2009.06.30
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Abstract

Purpose: The purpose of this study was to examine the relationship between the accommodative facility, blink rate and accommodative lag according to the change of angles of main viewpoint of near distance worker and study an appropriate viewing angle that mitigates asthenopia, such as headaches or eye fatigue accompanied when reading and staring at the computer or TV for a long time. Methods: Total of 27 people including 12 male university students and 15 female university students in the age of 20 to 36 with frequent near distance works, such as computers, were selected to study the accommodative facility, the blink rate and the accommodative lag in accordance with the change of viewing angles of the near distance workers. The refraction error was corrected completely and the phoropter was shifted to near distance mode to locate the near distance indication at 40 cm. The accommodative facility and the blink rate were measured for one minute at each viewing direction of $40^{\circ}$ downward, $20^{\circ}$ downward, horizontal, and $20^{\circ}$ upward directions based on the horizontal line and the accommodative lag was measured in dynamic retinoscopy using retinoscope. Results: As a result, when the main viewpoint was moved on upper direction from the $40^{\circ}$ below, the accommodative facility was reduced and the blink rate and the accommodative lag were increased so their eyes became dry and the accommodation response was reduced. Conclusions: In near distance works, the eye fatigue level can be minimized by locating a book or a computer screen $40^{\circ}$ below than the horizontal direction.

목적: 본 연구는 근거리 작업자의 주시선 각도 변화에 따른 조절효율과 순목횟수, 조절래그에 대한 상관관계를 조사하여 독서, 컴퓨터나 TV등을 오랜 시간동안 주시할 때 두통을 동반하거나 눈의 피로를 호소하는 원인 및 안정피로를 완화시키는 적합한 주시각도를 알아보고자 실시하였다. 방법: 컴퓨터 등의 근거리 작업을 많이 하는 20세에서 36세까지의 대학생 남자 12명과 여자 15명 총 27명을 대상으로 근거리 작업자의 주시선의 각도 변화에 따른 조절효율과 눈 깜빡임 횟수, 조절래그량의 크기를 조사하였다. 굴절이상을 완전교정한 후 포롭터를 근거리 모드로 전환하여 40 cm에 근거리 시표를 위치시키고 수평면을 기준으로 $40^{\circ}$ 아래방향, $20^{\circ}$ 아래방향, 수평방향, $20^{\circ}$ 윗 방향을 주시하였을 때 각각의 주시방향에서 1분 동안의 조절효율성, 눈의 깜빡임 횟수를 측정하였고 검영기를 이용하여 동적검영법으로 조절래그를 측정하였다. 결과: 주시선이 $40^{\circ}$ 하방보다 윗 방향쪽으로 이동할수록 조절효율은 감소하였고, 눈 깜빡임 횟수와 조절래그량은 증가하여 근거리 작업 시 눈이 건조해지고 조절반응량이 감소하는 것으로 조사되었다. 결론: 근거리 작업 시 책이나 컴퓨터 화면의 위치를 수평방향보다 $40^{\circ}$ 하방에 위치시키면 눈의 피로도를 최소화할 수 있다.

Keywords

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